Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association
Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association
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DOI：
10.1161/circulationaha.107.185649
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发表时间：
2007-08-01
影响因子：
4.1
通讯作者：
Bauman, Adrian
中科院分区：
文献类型：
--
作者：
Haskell, William L.;Lee, I-Min;Bauman, Adrian
首页--期刊主要分类--期刊细介绍--期刊题录与文摘--期刊详细文摘内容体育运动与公共健康：美国运动医学院和美国心脏协会对成年人的最新建议。地中海医院。SCI。《体育运动》，第39卷，第8期，第1423-1434页，2007年。摘要：1995年，美国运动医学院和疾病控制和预防中心发布了关于体育活动和公共健康的国家指南。美国心脏协会运动和心脏康复委员会认可并支持这些建议。本报告的目的是更新和澄清1995年关于健康成年人改善和维持健康所需的体力活动的类型和数量的建议。这份文件是由一个科学家专家小组开发的，其中包括内科医生、流行病学家、运动科学家和公共卫生专家。该小组回顾了相关生理学、流行病学和临床科学数据方面的进展，包括自1995年最初的建议发布以来发表的主要研究文章和综述。小组审议的问题包括：有关体力活动与健康的新科学证据、各组织在过渡时期提出的体力活动建议，以及通信问题。概述了与更新体力活动建议有关的要点，并组成了写作小组。编写了一份手稿草稿，并分发给专家小组和外部专家进行审查。评论意见被纳入最后建议。主要建议：为了促进和保持健康，所有18至65岁的健康成年人每周五天至少需要30分钟的中等强度有氧(耐力)体育活动，或每周三天至少20分钟的高强度有氧体育活动。[I(A)]可以结合中等强度和剧烈强度的活动来满足这一建议。[IIa(13)]例如，一个人可以通过在一周内两次快走30分钟，然后在另外两天慢跑20分钟来达到推荐标准。中等强度的有氧运动通常相当于快走，可以显著加快心率，通过进行每次持续10分钟或更长时间的比赛，可以积累到最少30分钟。[I(B)]剧烈运动以慢跑为代表，会导致呼吸急促和心率大幅增加。此外，每个成年人都应该每周至少进行两天的活动，以保持或增加肌肉力量和耐力。[IIA(A)]由于体育活动与健康之间存在剂量-反应关系，希望进一步改善个人健康、降低患慢性病和残疾的风险或防止不健康的体重增加的人可以通过超过最低建议的体育活动量而受益。[I(A)]。
HASKELL, W. L., I.-M. LEE, R. R. PATE, K. E. POWELL, S. N. BLAIR, B. A. FRANKLIN, C. A. MACERA, G. W. HEATH, P. D. THOMPSON, and A. BAUMAN. Physical Activity and Public Health: Updated Recommendation for Adults from the American College of Sports Medicine and the American Heart Association. Med. Sci. Sports Exerc., Vol. 39, No. 8, pp. 1423-1434, 2007. Summary: In 1995 the American College of Sports Medicine and the Centers for Disease Control and Prevention published national guidelines on Physical Activity and Public Health. The Committee on Exercise and Cardiac Rehabilitation of the American Heart Association endorsed and supported these recommendations. The purpose of the present report is to update and clarify the 1995 recommendations on the types and amounts of physical activity needed by healthy adults to improve and maintain health. Development of this document was by an expert panel of scientists, including physicians, epidemiologists, exercise scientists, and public health specialists. This panel reviewed advances in pertinent physiologic, epidemiologic, and clinical scientific data, including primary research articles and reviews published since the original recommendation was issued in 1995. Issues considered by the panel included new scientific evidence relating physical activity to health, physical activity recommendations by various organizations in the interim, and communications issues. Key points related to updating the physical activity recommendation were outlined and writing groups were formed. A draft manuscript was prepared and circulated for review to the expert panel as well as to outside experts. Comments were integrated into the final recommendation. Primary Recommendation: To promote and maintain health, all healthy adults aged 18 to 65 yr need moderate-intensity aerobic (endurance) physical activity for a minimum of 30 min on five days each week or vigorous-intensity aerobic physical activity for a minimum of 20 min on three days each week. [I (A)] Combinations of moderate- and vigorous-intensity activity can be performed to meet this recommendation. [IIa (13)] For example, a person can meet the recommendation by walking briskly for 30 min twice during the week and then jogging for 20 min on two other days. Moderate-intensity aerobic activity which is generally equivalent to a brisk walk and noticeably accelerates the heart rate, can be accumulated toward the 30-min minimum by performing bouts each lasting 10 or more minutes. [I (B)] Vigorous-intensity activity is exemplified by jogging, and causes rapid breathing and a substantial increase in heart rate. in addition, every adult should perform activities that maintain or increase muscular strength and endurance a minimum of two days each week. [IIa (A)] Because of the dose-response relation between physical activity and health, persons who wish to further improve their personal fitness, reduce their risk for chronic diseases and disabilities or prevent unhealthy weight gain may benefit by exceeding the minimum recommended amounts of physical activity. [I (A)].